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A chlamydia testing program at the recent Splendour in the Grass festival near Byron Bay met with a positive response from patrons, with more than 1000 young people attending the NSW Health ‘VIP zone’ to contribute urine samples.

The zone provided participants with a clean toilet, phone charging and the opportunity to freshen up their make-up, according to Marty Janssen from the NSW STI Programs Unit. He said the ‘Down to Test’ team collaborated with the Positive Adolescent Sexual Health (PASH) Consortium and the North Coast HIV and Related Programs (HARP) to enhance the range of sexual health promotion services available to festivalgoers.

“Young people with a negative result were contacted by SMS, while those with a positive result were contacted by a sexual health nurse from NSW Sexual Health Info-Link to inform them of diagnosis, and arrange treatment.

In 1979, when I started in GP practice, some 80% of my patients presented with an acute problem. Now I estimate the same quantum has one or more chronic diseases. The Medibank scheme started in 1975 (it became Medicare under Hawke in 1984) and the standard consultation was described and given a monetary value.

The descriptor basically said take a history, examine the patient, investigate as appropriate, implement a management plan, provide appropriate preventive health care and document this record on the one or more presenting health- related issues.

Fair enough for a sore throat or ‘flu like’ presentation but what about the patient with one or more chronic diseases, who is likely to have multiple medications and many complex physical and/or psychological health issues?

Medical bodies including the AMA and the Colleges of General Practitioners and Physicians are putting their weight behind moves to see practical changes in the way Aboriginal and Torres Strait Islander people are treated in the health, child protection and criminal justice systems. Pressure is also being exerted on government to give greater recognition to the views of Indigenous people from around the country.

These issues were featured prominently at the National Indigenous Incarceration Conference (NIIC), held in Kingscliff in June 2018 and attended by a wide range of mainly Aboriginal and Torres Strait Islander speakers and delegates, both national and local.

Australia is heading towards one in two of the prison population comprising Aboriginal prisoners by 2020. In 1992, the ratio was one in seven.

Amongst the alarming statistics was the revelation that since 2004 the number of Aboriginal Australians in custody has increased by 88 per cent, compared to a 2 per cent increase for non-Aboriginal Australians. Moreover, Australia is heading towards one-in-two of the prison population comprising Aboriginal prisoners by 2020. In 1992, the ratio was one in seven.

Following up on the Nordocs unConference, where local medicos presented on things they are passionate about, the following is an introduction to the Handbook of Non-Drug Interventions. I have been part of the editorial/ writing group for HANDI since 2013 and have learned much from it.

Why a handbook of non-drug interventions?

It is estimated that half of the myriad clinical trials conducted each year globally are for non-drug treatments. However, effective non-drug interventions are less well known, less well promoted and less well used than their pharmaceutical counterparts.